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1598789026
KENNETH WILLIAM DAVIS
MODESTO, CA
NPI
1598789026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 18277)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
Mr. KENNETH WILLIAM DAVIS MFT
948 11TH ST SUITE 11 H
MODESTO, CA 95354-2308
Phone number: 209-521-7526
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Mailing Address
Mr. KENNETH WILLIAM DAVIS MFT
948 11TH ST SUITE 11 H
MODESTO, CA 95354-2308
Phone number: 209-521-7526
Copy
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